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RIDA KHAN
NPI 1902654189
Internal Medicine in Chicago, IL

Active since May 11, 2024PECOS Enrolled
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 12, 2025, May 11, 2024 (2 updates tracked since 2024).

About Rida Khan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDA KHAN (NPI 1902654189) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125.086549) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902654189
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRIDA KHAN
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address1969 W Ogden AveChicago, IL 60612-3765
Phone(312) 864-6000
Sole ProprietorYes
Enumeration DateMay 11, 2024
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1902654189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.086549
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1969 W OGDEN AVE, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rida Khan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIGNESH CHIDAMBARAM MD, MPH
Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
LUCAS KUZMANIC DO
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
KEERTHIKA VIJAYAKUMAR MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. KEVIN BOUBOULEIX
Emergency Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
NABEEL ZIA AHMED
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. VAMSI KRISHNA KAZA M.D., MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
CHRISTINE MARIA WHIPPLE LCSW
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Cook County (312) 864-1466
LESLIE FENIO PA-C
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-7761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rida Khan's NPI number?

The NPI number for Rida Khan is 1902654189. It was assigned to this individual provider in the NPPES registry on May 11, 2024.

Where is Rida Khan located?

Rida Khan practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Rida Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rida Khan enrolled in Medicare?

Yes. Rida Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rida Khan was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.